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2017) زكي," )طبيشهRodent Models of Type 2 Diabetes Mellitus," Hebron University Research Journal-A
(Natural Sciences) - ( أ )العلوم الطبيعيه-مجلة جامعة الخليل للبحوث: Vol. 7 : Iss. 1 , Article 3.
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?????: Rodent Models of Type 2 Diabetes Mellitus
Abstract:
Diabetes is a disease characterized by a relative or absolute lack of insulin,
leading to hyperglycemia. Due to the high prevalence of diabetic
individuals all over the globe, extensive research is being carried out
effective to develop more antidiabetic agents and to determine their
mechanisms of action. Consequently, a number of diabetic animal models
have been developed and improved over the years, of which rodent models
are the most thoroughly described. The animal models of type 2 diabetes
can be obtained either spontaneously (genetics) or induced by chemicals,
dietary, surgical manipulations or by various combinations. In this review
my attention has been focused on gathering the animal models of type 2
diabetes, with reference to their characteristic, mechanisms, advantages
and disadvantages to the investigators in type 2 diabetes research. For
better and conclusive results, more than one animal model should be used
to represent the diversity seen in human diabetic patients.
:الملخص
.يتميّز مرض السكري بنقص األنسولين بكميات كبيرة أو جزئيّة تؤدي الرتفاع السكر في الدم
تجرى اآلن الكثير من األبحاث إلنتاج و تطوير،ًبسبب االنتشار الواسع لداء السكري عالميا
لذلك تم تطوير العديد من حيوانات التجارب.عالجات جديدة و دراسة آليّة عمل هذة األدوية
حيث كانت القوارض من أكثر،كنموذج لمرض السكري و تم تحسينُها خالل السنوات الماضية
و يمكن تطوير حيوانات التجارب المصابة بالسكري من النوع الثاني إما،ًهذة الحيوانات استعماال
أو الجمع بين الطُرق،ً بشكل تلقائي (جينيّاً) أو من خالل استحداثها كيميائيّا ً وغذائيّا ً وجراحيّا
هذا و تُبيِّنُ ال ُمراجعة ال ِعلميّة الحالية خصائص حيوانات التجارب المصابة بالسكري من.المذكورة
باإلضافة إلبراز حسنات كل منها وسيئاتها كنموذج للباحثين في، وكيفية استحداثها،النوع الثاني
لِدراسة داء السكري من النوع الثاني على اإلنسان ال بُ َّد من.مجال السكري من النوع الثاني
استخدام أكثر من نموذج من حيوانات التجارب ليكون مماثالً ومشابها ً لهذا الداء عند المرضى من
.النوع الثاني
السمنة، القوارض، السكري، نماذج حيوانات التجارب:الكلمات المفتاحية
Introduction
Diabetes of all types can lead to complications in various organs of the
body and can increase the risk of dying prematurely (Zone and Guide,
2017). Globally, an estimated 422 million adults were living with diabetes
in 2014, compared to 108 million in 1980 (WHO, 2016). To address the
urgent and challenging needs for better treatment options to control or
even eradicate diabetes mellitus, animal models closely resembling
disease characteristics are rapidly required to predict the efficacy and
safety of tested compounds in humans (Renner et al., 2016). Theoretically,
any organism can be used as a laboratory model for scientific
investigation, but only a few species are chosen to serve in biomedical
fields (Wall and Shani, 2008). However, to be defined as a laboratory
animal, the species must be bred and raised under certain conditions and
kept in a rigorously controlled environment under constant monitoring, so
that all microbiologic and genetic factors are known (Andersen and Tufik,
2015). Currently, rodents represent the dominant species in biomedical
research for their low cost, high reproductive potential, short life span,
adaptability to varied environments and sociability (Angelis et al., 2015).
In fact, 90% of laboratory animals are mice and rats, inclusion of guinea
pigs and rabbits brings this figure to 99%, while, the remaining 1% is
composed of dogs, cats, and non-human primates, among others
(Balcombe, 2006). Most diabetic patients, that is, 90% to 95%, suffer from
type 2 diabetes mellitus (T2DM), which is characterized by a combination
of insulin resistance and insulin secretion defects, with variable
manifestations resulting in relative insulin deficiency (Renner et al., 2016).
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Zaki Tubesha, Rodent Models of Type 2 Diabetes Mellitus, H.U.R.J, Vol. (7), 2017 34
Monogenic Models
Monogenic diabetes constitutes a heterogeneous group of single gene
disorders (Hattersley, 2005). The molecular background and clinical
picture of many of these diseases have been described (Fajans et al., 2001;
Hattersley, 1998; Malecki et al., 2008; McCarthy and Hattersley, 2001).
These models are divided into two major groups, resulting from impaired
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Zucker Diabetic Fatty Rats: Zucker diabetic fatty (ZDF) rats were
discovered in 1961 after a cross of Merck M-strain and Sherman rats (Al-
Awar et al., 2016). The homozygous mutation (fa/fa) of the leptin
hormone receptor results in the development of type 2 diabetes in male
rats when they are fed a high-energy rodent diet. The rats induces
hyperphagia, and become obese at around 4 weeks of age (Srinivasan and
Ramarao, 2007). In addition, rats develop advanced insulin resistance and
glucose intolerance between 3 and 8 weeks of age and turn overtly
diabetic between 8 and 10 weeks of age with glucose levels in the feeding
state typically 500 mg/dl by 10-11 weeks of age (Al-Awar et al., 2016;
King and Bowe, 2016). The symptoms of this genetic obesity share many
similarities with those in obese patients with insulin-resistance or T2DM
including hyperinsulinaemic, hyperlipidaemic, hypertensive, and impaired
glucose tolerance. Therefore, the obese Zucker rat has been widely used as
a genetic model of obesity and insulin resistance (King, 2012).
Polygenic Models
KK and KK-Ay mice: The KK mice originating from Japan is a polygenic
model of obesity and T2DM (Wang et al., 2013). They exhibit mild
insulin resistance and obesity, which is more severe in male mice than in
female mice (Kitada et al., 2016). Hyperphagia, hyperinsulinaemia and
insulin resistance are main features of the KK mouse, which becomes
gradually obese from the age of 2 months to the age of 4-5 months
(Chatzigeorgiou et al., 2009). In these animals, insulin resistance precedes
the onset of obesity. The increase in insulin content is associated with
increase in number and size of pancreatic islets, but histologically
degranulation of β-cells and hypertrophy of islets are found (King, 2012;
Srinivasan and Ramarao, 2007). The KK-Ay mouse was developed by
Nishimura et al in 1969 by transferring the yellow obese gene (Ay allele)
into the KK mouse (Nishimura, 1969). KK-Ay mice are more severely
obese and are more likely to develop hyperglycemia and albuminuria at 16
weeks of age than KK mice of the same age (Kitada et al., 2016).
Therefore, these mice are widely used as an experimental model of type 2
diabetes.
New Zealand Obese Mice: The New Zealand Obese (NZO) mouse is one
of the most thoroughly investigated polygenic models for the human
metabolic syndrome and type 2 diabetes. It presents the main
characteristics of the disease complex, including early-onset obesity,
insulin resistance, dyslipidemia, and hypertension (Dunford, 2016). As a
consequence of the syndrome, male NZO mice develop type 2 like
diabetes characterized by marked hyperglycaemia and hyperinsulinemia at
earlier age (8–12 weeks), and later on by low serum insulin levels
associated with beta-cell destruction (Gitanjali et al., 2016). Additionally,
NZO mice exhibit decreased exercise activity when compared to control
or even ob/ob mice. Obesity in NZO mice is caused by a combination of
hyperphagia, insufficient physical activity, and reduced energy
expenditure with a reduction in body temperature (King and Bowe, 2016).
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Torii (SDT) rat: The Spontaneously Diabetic Torii (SDT) rat is a new
inbred strain of Sprague-Dawley (SD) rat established as a non-obese
model of type 2 diabetes mellitus and characterized by long survival
without insulin treatment (Srinivasan and Ramarao, 2007). The cumulative
incidence of diabetes was 100% by 32 weeks in male SDT rats, while it
was only 33% in females even at 15 months (Yukihito et al., 2012). A
clear gender difference is observed in the onset of diabetes in SDT rats.
Male SDT rats showed high plasma glucose levels (over 700 mg/dl) by 20
weeks which will lead to develop severe ocular complications such as
cataracts, retinal neovascularizations, and retinal detachment with fibrous
proliferation as well as renal abnormalities such as renal tubular dilation
and increased mesangial matrix in glomeruli (Mukai et al., 2014;
Shinohara et al., 2000). Therefore, SDT rats are a useful animal model for
investigating diabetic complications.
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NA vary depending on the doses of these two compounds, the age of the
animals and the time of NA administration in relation to the administration
of STZ. Other factors, such as the administration route of STZ and the
nutritional state of rats, may also have certain influence (Domingo et al.,
1995). In the case of relatively low doses of NA given to rats, its
protective action is negligible. Conversely, high doses of NA may provide
full protection (Tubiana and Aurengo, 2006). The age of rats is vital, since
β-cells of younger animals are less sensitive to STZ and are better
protected by NA. It is also known that the protective action of NA on β-
cells decreases with the time elapsed after administration of STZ to rats.
In the majority of experiments, NA is given to rats 15 minutes before STZ
injection (Szkudelski, 2012).
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not cause diabetes in standard diet fed animals (Furman, 2015). Thus,
these fat-fed/STZ-treated animals simulate natural disease progression and
metabolic characteristics typical of individuals at an increased risk of
developing T2DM because of insulin resistance and obesity (Reuter,
2007). Suitable animal strains for high fat/STZ models are C57BL/6J mice
as well as rats, preferably male Sprague-Dawley rats. Diets from 40% to
60% calories as fat have been used together with STZ injections of 35–50
mg/kg. Induction times vary from 2 to 4 weeks up to several weeks,
depending to type of diet and dose of STZ (Reed et al., 2000; Reuter,
2007; Srinivasan et al., 2005). The high fat fed low dose STZ models have
several advantages, including cost-effective, developed in short time and
are suitable for in vivo evaluation of anti-diabetic agents (Srinivasan and
Ramarao, 2007).
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Conclusion:
The animal models of T2DM are very useful means for studying the
pathophysiology and the clinical phases of the disease. Actually, they are
always used as the initial step for examining a new therapy. Each model
provides unique advantages specific for an area of T2DM study or its
complications. An ideal model should typically mimic the natural disease
pattern as closely as possible with the two major pathogeneses, insulin
resistance, and partial pancreatic beta cell dysfunction. Therefore, the
continuing research for inventing new models has always positive critics
and animal models will continue to have a major and meaningful place in
diabetes research. However, every researcher should only utilize animals
only when they are indispensable for a study and avoid causing them pain,
distress, suffering and lasting harm.
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